Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS J0652 · per 10 MCG

Inj, levothyroxine, hikma

Products billed under this code include Levothyroxine Sodium.

Payment limit per 10 MCG, by effective quarter, 1Q25 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.

Products billed under J0652

From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.

ProductLabelerNDCUnits / pkgLimit / pkg
Levothyroxine Sodium Hikma Pharmaceuticals USA Inc. 24201-0002-01 10 $63.15

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $6.315 $0.00 10 MCG Inj, levothyroxine, hikma v1, posted September 17, 2026
3Q26 $6.315 $0.00 10 MCG Inj, levothyroxine, hikma v1, posted September 15, 2026
2Q26 $6.315 −$1.371 10 MCG Inj, levothyroxine, hikma v1, posted September 15, 2026
1Q26 $7.686 +$2.55 10 MCG Inj, levothyroxine, hikma v1, posted September 15, 2026
4Q25 $5.136 $0.00 10 MCG Inj, levothyroxine, hikma v1, posted September 8, 2026
3Q25 $5.136 $0.00 10 MCG Inj, levothyroxine, hikma v1, posted March 10, 2026
2Q25 $5.136 $0.00 10 MCG Inj, levothyroxine, hikma v1, posted March 10, 2026
1Q25 $5.136 – 10 MCG Inj, levothyroxine, hikma v1, posted December 19, 2025

“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.

CMS source files